ROMAN F NIZIOLEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067726

License Status

NOT RENEWED

Business

First Name

ROMAN F

Last Name

NIZIOLEK

Suffix

Business Name

ROMAN F NIZIOLEK MD

Original Issue Date

10/07/1983

Effective Date

07/20/2020

Expiration Date

07/31/2023

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023